340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
BROOKSHIRE BROTHERS PHARMACY #65
CH061223S Brazos Valley Community Action Agency, Inc.
Print
Covered Entity Details
Entity Name
Brazos Valley Community Action Agency, Inc.
Subdivision Name
HealthPoint Somerville
Type
HRSA-Funded Health Center
340B ID
CH061223S
Entity Address
17202 State Highway 36 S
Somerville, TX 77879-4157
Grant Number
H80CS00299
Participating Start Date
1/1/2021
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
BROOKSHIRE BROTHERS PHARMACY #65
Pharmacy Address
16800 SH 36 SOUTH
PO BOX 129
SOMERVILLE, TX 77879
Pharmacy Comments
Contract Details
Approval Date
10/15/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Theresa Sabella, Dr.
(979) 383-2348
Contract Pharmacy Representative
Brookshire Grocery Company
Neil Ducote, Director of Pharmacy
(903) 600-1376
Signed By Date
10/15/2021
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session